Journeaux Moyra
Nursing and Midwifery Higher Education Department, Health and Social Services, Jersey.
Nurs Stand. 2013;27(45):33-8. doi: 10.7748/ns2013.07.27.45.33.e7742.
This article explores whether there are adverse surgical outcomes for patients who experience hypothermia in the peri-operative period. Findings of this literature review highlight the need to establish a standard definition of hypothermia. Furthermore, the literature supports the full implementation of the National Institute for Health and Care Excellence guidance on The Management of Lnadvertent Perioperative Hypothermia in Adults. A total of 18 studies were critically appraised to determine their rigour, reliability and validity. A discussion of the findings from the studies has taken into account the inferences drawn from the appraisal. Evaluation of the quality of the evidence has been used to evaluate which findings could apply to clinical practice. While there were variations in study quality, the evidence supports developing an effective strategy for preventing hypothermia in the peri-operative period.
本文探讨了围手术期体温过低的患者是否会出现不良手术结局。该文献综述的结果强调了建立体温过低标准定义的必要性。此外,文献支持全面实施英国国家卫生与临床优化研究所关于成人围手术期意外体温过低管理的指南。共对18项研究进行了严格评估,以确定其严谨性、可靠性和有效性。对这些研究结果的讨论考虑了评估得出的推论。对证据质量的评估已用于评估哪些结果可应用于临床实践。虽然研究质量存在差异,但证据支持制定一项有效的围手术期体温过低预防策略。